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Organization
SEASON OF CHANGE, PLLC
Active
Organization
SEASON OF CHANGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHAH WHITEHEAD LCSW (OWNER/ LEAD THERAPIST)
(770) 895-7580
Entity
Organization
Contact information
Practice address
933 LOUISE AVE # 407, CHARLOTTE, NC 28204-2147
(770) 895-7590
Mailing address
933 LOUISE AVE # 407, CHARLOTTE, NC 28204-2147
(770) 895-7580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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